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注意缺陷多动障碍儿童的睡眠障碍:一项系统综述。

Sleep disturbance in children with attention-deficit hyperactivity disorder: A systematic review.

作者信息

Martins Renata, Scalco Janaina Cristina, Ferrari Junior Geraldo Jose, Gerente Juliana Gonçalves da Silva, Costa Matheus da Lapa, Beltrame Thaís Silva

机构信息

MSc. In Physiotherapy at Santa Catarina State University, Florianópolis/SC/Brazil.

MSc.in Human Movement Science at Santa Catarina State University, Florianópolis/SC/Brazil.

出版信息

Sleep Sci. 2019 Oct-Dec;12(4):295-301. doi: 10.5935/1984-0063.20190088.

Abstract

The aim of the present systematic review was to compare sleep disorders in children, from 7 to 12 years old, with and without an attention-deficithyperactivity disorder (ADHD) diagnosis. Electronic literature search of PubMed, LILACS, Scopus, Web of Science and Cochrane Library databases was conducted in September 2017. We included cross-sectional observational studies comparing the sleep of children between 7 and 12 years old, with and without an ADHD diagnosis, reported according to the Diagnostic and Statistical Manual of Mental Disorders criteria. The studies with other research designs, those that included adolescents and/or adults in the sample and those who evaluated the sleep of children with ADHD and other associated comorbidities were excluded. A total of 1911 articles were identified. After analyzing, 8 articles were compatible with the theme and included in the review. For sleep evaluation, most of the studies used an objective measure together with another subjective measure. Three out of six studies that used objective measures did not observe any differences between children with and without ADHD diagnosis. Children with ADHD presented more sleep disturbances when compared to children without the diagnosis. These disorders were diverse, yet inconsistent among the surveys. More studies are needed to clarify and for robust results.

摘要

本系统评价的目的是比较7至12岁诊断为和未诊断为注意力缺陷多动障碍(ADHD)的儿童的睡眠障碍情况。2017年9月对PubMed、LILACS、Scopus、科学网和考克兰图书馆数据库进行了电子文献检索。我们纳入了根据《精神疾病诊断与统计手册》标准报告的比较7至12岁诊断为和未诊断为ADHD的儿童睡眠情况的横断面观察性研究。排除了其他研究设计的研究、样本中包括青少年和/或成年人的研究以及评估患有ADHD和其他相关合并症儿童睡眠情况的研究。共识别出1911篇文章。经过分析,8篇文章符合主题并纳入本评价。对于睡眠评估,大多数研究使用了一种客观测量方法和另一种主观测量方法。在使用客观测量方法的六项研究中,有三项未观察到诊断为和未诊断为ADHD的儿童之间存在任何差异。与未诊断的儿童相比,患有ADHD的儿童出现更多睡眠障碍。这些障碍多种多样,但在各项调查中并不一致。需要更多研究来阐明并得出有力结果。

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